Physicians’ and obstetricians’ knowledge regarding periodontal disease and adverse pregnancy outcomes
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Keywords

Periodontal disease, Knowledge, Physicians, Pregnancy

How to Cite

Rodríguez-Gómez, M. J., Mejía-Lora, L. P., Peñaloza-Mora, E. Y., & Urueña-Durán, J. (2013). Physicians’ and obstetricians’ knowledge regarding periodontal disease and adverse pregnancy outcomes. Salud UIS, 45(3). Retrieved from https://revistas.uis.edu.co/index.php/revistasaluduis/article/view/3154

Abstract

Introduction: Recent studies have related oral diseases with systemic conditions. Specifically, periodontal disease has been associated with preterm birth, low birth weight and preeclampsia. Objective: To assess the physicians’ and obstetricians’ knowledge and practice behaviors regarding periodontal disease and its role in adverse pregnancy outcomes. Methods: A cross sectional study was done. The sample included 139 physicians and 24 obstetricians from the city of Bucaramanga and its metropolitan area, some cities of Santander and Norte de Santander. We used a self-report questionnaire and the population was described according to the nature of the variables, frequencies and proportions for categorical variables, means and standard deviations for quantitative variables. To establish the differences between general practitioners and obstetricians we applied chi-square test, Fisher exact test, Student’s t test and the U. Mann Whitney according to the nature and distribution of variables. It was considered a value of p ≤ 0.05 as statistically significant. Results: Physicians and obstetricians definitely felt that periodontal disease may be a risk factor for the health of mother and child, in 66.9% (93) for general practitioners and 75.0% (18) for obstetricians. Similarly, 30.7% (42) of general practitioners and 45.8% (11) of obstetricians related periodontal disease with preterm delivery, low birth weight and preeclampsia. Despite these findings, only 77.4% (106) and 54.2% (13) “always” refer the mother to dental practice. Conclusions: Although participants had knowledge about the topics evaluated, they required a more detailed application of the same to ensure the welfare of mother and child.

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References

Pihlstrom BL, Michalowics BS, Johnson NW. Periodontal diseases. Lancet. 2005; 366: 1809-1820.

Merchant AT, Pitiphat W. Researching periodontitis: challenges and opportunities. J Clin Periodontol. 2007; 34: 1007 - 1015.

Mealey BL, Moritz AJ. Hormonal influences: effects of diabetes mellitus and endogenous female sex steroid hormones on the periodontium. Periodontology 2000. 2003; 32: 59 - 81.

Kornman KS, Loesche WJ. Effects of estradiol and progesterone on Bacteroides melaninogenicus and Bacteroides gingivalis. Infect Immun. 1982; 35: 256 - 263.

Leiff S, Bogges, KA, Murtha AP, Jared H, Madianos PN, Moss K et al. The oral condition and pregnancy study: periodontal status of a cohort of pregnant women. J Periodontol. 2004; 75: 116 - 126.

Armitage GC. Bi-directional relationship between pregnancy and periodontal disease. Periodontology 2000. 2013; 61: 160 - 176.

Offenbacher S, Katz V, Fertik G, Collins J, Boyd D, Maynor G et al. Periodontal infection as a possible risk factor for preterm low birth weight. J Periodontol. 1996; 67: 1103 - 1113.

Lopez NJ, Smith PC, Gutierrez J. Higher risk of preterm birth and low birth weight in women with periodontal disease. J Dent Res. 2002; 81: 58 - 63.

Siqueira FM, Cota LO, Costa JE, Haddad JP, Lana AM, Costa FO. Intrauterine growth restriction, low birth weight and preterm birth: adverse pregnancy outcomes and their association with maternal periodontitis. J Periodontol. 2007; 78: 2266 - 2276.

Mendez CE, Beltran MA, Concha SC, Camacho PA. Relación entre enfermedad periodontal y parto pretérmino en el servicio de sala de partos del Hospital Universitario de Santander (HUS) [Trabajo de Grado]. Bucaramanga: Universidad Industrial de Santander; 2008.

Agueda A, Ramon JM, Manau C, Guerrero A, Echeverria JJ. Periodontal disease as a risk factor for adverse pregnancy outcomes: a prospective cohort study. J Clin Periodontol. 2008; 35: 36 - 22.

Contreras A, Herrera JA, Soto JE, Arse RM, Jaramillo A, Botero JE. Periodontitis is associated with preeclampsia in pregnant women. J Periodontol. 2006; 77: 182 - 188.

Davenport ES, Williams CE, Sterne JAC, Murad S, Sivapathasundram V, Curtis MA. Maternal periodontal disease and preterm low birth weight: case - control study. J Dent Res. 2002; 81: 313 - 318.

Strafford KE, Shellhaas C, Hade EM. Provider and patient perceptions about dental care during pregnancy. J Matern Fetal Neonalta Med. 2008; 21: 63 - 71.

Ministerio de Salud. Resolución 000412 de 2000. Norma Técnica para la Detección Temprana de las Alteraciones del Embarazo [en línea] Bogotá [fecha de acceso: diciembre de 2012] URL disponible en: http://www.nacer.udea.edu.co/pdf/capacitaciones/hc/08.

Chacón AF, Gutiérrez ZA, Montañez J, Pieschacón MP, Camargo DM. Factores asociados a caries y enfermedad periodontal en mujeres gestantes, Bucaramanga 2001. Ustasalud. 2002; 1: 33 - 39.

Wilder R, Robinson C, Jared HL, Lieff S, Bogges, KA. Obstetricians’ knowledge and practice behaviors concerning periodontal health and preterm delivery and low birth weight. J Dent Hyg. 2007; 81: 81.

Zanata RL, Fernandes KB, Navarro PS. Prenatal dental care: evaluation of professional knowledge of obstetricians and dentists in the cities of Londrina/PR and Bauru/SP, Brazil, 2004. J Appl Oral Sci. 2008; 16: 194 - 200.

Duque A TM, Arbeláez C, García S. Conocimientos y actitudes sobre la posible asociación de la periodontitis como factor de riesgo de algunas enfermedades y condiciones médicas en una muestra de médicos en Medellin - Colombia. Rev CES Odont. 2011; 24: 29 - 36.

Dean AG, Sullivan KM, Soe MM. OpenEpi: Open Source Epidemiologic Statistics for Public Health. 2013.

Habashneh R, Aljubdi SH, Alwaeli HA. Survey of medical doctors’ attitudes and knowledge of the association between oral health and pregnancy outcomes. Int J Dent Hygiene. 2008; 6: 214 - 220.

Morgan MA, Crall J, Goldenberg RL, Schulkin J. Oral health during pregnancy. J Matern Fetal Neonalta Med. 2009; 22: 733 - 739.

Excel 2007. Microsoft Corporation, United States. 2007.

Info E. Epi Info Software v 3.5.1. 2008.

Stata Statistical Software. Release 8.0. College Station, TX. Stata Corporation. 2009; United States.

Pagano M, Gauvreau K. Fundamentos de Bioestadística. México: Thomson Learning; 2001.

República de Colombia, Ministerio de Salud. Resolución 04830 de 4 de octubre de 1993.

Ministerio de Salud y Protección Social. Plan Obligatorio de Salud (POS) [en línea] 2011 [fecha de acceso: diciembre de 2012] URL disponible en: http://www.pos.gov.co/Paginas/Procedimientos-yservicios-.aspx.

Polyzos NP, Polyzos IP, Mauri D, Tzioras S, Tsappi M, Cortinovis I et al. Effecto of periodontal disease treatment during pregnancy on preterm birth incidence: a metaanalysis of randomized trials. Am J Obstet Gynecol. 2009; 2003: 225 - 232.

Macones GA, Parry S, Nelson DB, Strauss JF, Ludmir J, Cohen AW et al. Treatment of localized periodontal disease in pregnancy does not reduce the ocurrence of preterm birth: results from the Periodontal Infections and Prematurity Study (PIPS). Am J Obstet Gynecol. 2010; 202: e1 - e8.

Suresh L, Radfar L. Pregnancy and lactation. Oral Surg Oral Med Oral Pathol Radiol Endod. 2004; 97: 672 - 682.

Concha SC. La salud oral de las mujeres gestantes, sus repercusiones y los aspectos que influencian su atención. Ustasalud. 2011; 10: 110 - 126.

Kloetzel MK, Huebner CE, Milgrom P. Referrals for dental care during pregnancy. J Midwifery Womens Health. 2011; 56: 110 - 117.

Cáceres-Manrique FM. El control prenatal: una reflexión urgente. Rev Colomb Obstet Ginecol. 2009; 60: 165 - 170.

Saldarriaga OJ, Sánchez M, Avendaño L. Conocimientos y prácticas en salud bucal de las gestantes vinculadas al programa de control prenatal. Medellín 2003. Rev CES Odont. 2004; 17: 9 - 23.

Menoli APV, Frossard WTG. Perfil de médicos ginecologistas/obstetras de Londrina com relaçào à saúde oral da gestante. Semina. 1997; 18: 34 - 42.

Gonzaga HF, Buso L, Jorge MA, Gonzaga LH. Intrauterine dentistry: integrated model of prevention. Braz Dent J. 2001; 12: 139 - 142.

Riveros CM, Rodríguez MJ. Programa preventivo en salud oral para controlar factores de riesgo asociados a caries dental y enfermedad periodontal en mujeres gestantes. Ustasalud. 2007; 6: 17 - 28.

Paquette DW, Madianos PN, Offenbacher S, Beck JD, Williams RC. The concept of “risk” and the emerging discipline of periodontal medicine J. Contemp Dent Pract. 1999; 15: 1 - 8.

Wilder RS, Iacopino AM, Feldman CA, Guthmiller J, Linfante J, Lavigne S et al. Periodontal systemic disease education in U.S. and Canadian Dental Schools. J Dent Educ. 2009; 73: 38 - 52.

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Copyright (c) 2023 Martha Juliana Rodríguez-Gómez, Lofthy Piedad Mejía-Lora, Eliana Yolanda Peñaloza-Mora, Juliana Urueña-Durán

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